| NPI | 1447899133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 57257) |
| 101YP2500X Counselor, Professional (Licence: 57257) | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2023-09-27 |